| Harbor City Health Center - Necc | |
|
1403 Lomita Blvd Suite 100, 101, 106 Harbor City CA 90710-2076 | |
| (310) 784-5800 | |
| (310) 530-9811 |
| Full Name | Harbor City Health Center - Necc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1403 Lomita Blvd, Harbor City, California |
| Authorized Official Name and Position | Christopher Lau (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6264576900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor City Health Center - Necc 2550 W Main St Suite 301 Alhambra CA 91801-1694 Ph: (626) 457-6900 | Harbor City Health Center - Necc 1403 Lomita Blvd Suite 100, 101, 106 Harbor City CA 90710-2076 Ph: (310) 784-5800 |
| NPI Number | 1952641136 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 10/15/2021 |
| Medicare PECOS PAC ID | 5193710275 |
|---|---|
| Medicare Enrollment ID | O20140604002195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952641136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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